O SHINE RESIDENTIAL HOME, INC
NPI 1174296602
Custodial Care Facility - Adult Care Home in Richardson, TX

Q: What is O Shine Residential Home, Inc's NPI number?

The NPI number for O Shine Residential Home, Inc is 1174296602. It was assigned to this organization in the NPPES registry on July 29, 2021.

Q: What is O Shine Residential Home, Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since July 29, 2021

1903 TRAILRIDGE DR, RICHARDSON, TX 75081(469) 233-6741(214) 594-9266 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About O Shine Residential Home, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

O SHINE RESIDENTIAL HOME, INC (NPI 1174296602) is a healthcare organization registered as an adult care home in Richardson, Texas and active in the NPI registry since July 2021. The organization lists Ellen Clinton, Consultant, as its authorized official.

NPPES Registry Identity

NPI1174296602

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameO SHINE RESIDENTIAL HOME, INC

Location Address1903 TRAILRIDGE DRRichardson, TX 75081-4734

Mailing Address1903 Trailridge DrRichardson, TX 75081-4734 · (469) 233-6741 · Fax (214) 594-9266

Phone(469) 233-6741

Fax(214) 594-9266

Organization SubpartNo

Authorized OfficialEllen ClintonConsultant · (817) 903-7600

Enumeration DateJuly 29, 2021

NPPES CertifiedJuly 29, 2021

✔ NPI 1174296602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1903 TRAILRIDGE DR, Richardson, TX 75081

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is O Shine Residential Home, Inc's NPI number?

The NPI number for O Shine Residential Home, Inc is 1174296602. It was assigned to this organization in the NPPES registry on July 29, 2021.

Where is O Shine Residential Home, Inc located?

O Shine Residential Home, Inc is located at 1903 Trailridge Dr, Richardson, TX 75081. The listed phone number is (469) 233-6741.

What is O Shine Residential Home, Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for O Shine Residential Home, Inc was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.